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In addition, 11% of the medical personnel in general and visceral surgery were reallocated to other departments.

The SARS-CoV‑2 pandemic has asignificant impact on academic general and visceral surgery in Germany. The reduction in beds and operating room capacity can lead to considerable delays in urgent surgical interventions and financial burdens in 2020 and subsequent years.

The SARS-CoV‑2 pandemic has a significant impact on academic general and visceral surgery in Germany. The reduction in beds and operating room capacity can lead to considerable delays in urgent surgical interventions and financial burdens in 2020 and subsequent years.Surgical treatment of papillary thyroid microcarcinoma (PTMC) is evolving more and more into a controversial issue. As in Japan more than 50% of PTMCs are only observed, an increasing number of physicians in the western world are calling for active surveillance instead of lobectomy or total thyroidectomy. Unifocal carcinomas of older patients without extrathyroidal growth or lymph node involvement seem to be candidates for active surveillance. First estimations for a lifelong observation show that patients less then 30 years old will have a probability of tumor progression of more than 60%. A decision for surgery versus active surveillance has to weigh up all the arguments for and against, which have to be discussed and planned in detail together with the patient.Advanced thyroid carcinomas with infiltration of the aerodigestive tract are rare but are responsible for approximately 50% of the tumor-specific mortality. Due to impending and frequently life-threatening local complications and in the absence of promising therapeutic alternatives, a resection in curative or palliative intention is indicated if the local tumor is resectable. The resection and especially reconstruction of the trachea represent an extraordinary surgical challenge, require an individualized approach as well as exact knowledge of tracheal resection techniques. The decision for surgery in general, the selection of adequate resection and reconstruction strategies as well as the perioperative management should be accompanied by a particularly experienced interdisciplinary team.We used a novel microendoscope system to record simultaneously optical activity (fluorescence of a calcium indicator dye) and electrical activity (multi-unit activity and local field potentials) from the dorsal inferior colliculus of the echolocating bat, Carollia perspicillata. Optically recorded calcium responses to wide-band noise and to frequency-modulated bursts were recorded at probe depths down to 1300 µm, with the majority of active sites encountered at more shallow depths down to 800 µm. Calcium activity exhibited long latencies, within the time span of 50-100 ms after stimulus onset, significantly longer than onset latencies of either multi-unit activity or local field potentials. Latencies and amplitude/latency trading of these electrical responses were consistent with those seen in standard electrophysiological recordings, confirming that the microendoscope was able to record both neural and optical activity successfully. Optically recorded calcium responses rose and decayed slowly and were correlated in time with long-latency negative deflections in local field potentials. These data suggest that calcium-evoked responses may reflect known, sustained inhibitory interactions in the inferior colliculus.

Traumatic brain injury (TBI) still remains a serious health problem and is called a "silent epidemic". Each year in Europe 262 per 100,000 individuals suffer from TBI. The most common consequence of severe head injuries include acute subdural (SDH) and epidural hematomas (EDH), which usually require immediate surgically treatment. The aim of our study is to identify factors which have the strongest prognostic value in relation to in-hospital mortality rate among of patients undergoing surgery for EDH and SDH.

Cohort included 128 patients with isolated craniocerebral injuries who underwent surgery for EDH (28 patients) and SDH (100 patients) in a single, tertiary care Department of Neurosurgery. The data were collected on admission of patients to the Emergency Department and retrospectively analyzed. The following factors were analyzed demographic data, physiological parameters, laboratory variables, computed tomography scan characteristics and the time between trauma and surgery. Likewise, we have investigated the in-hospital mortality of patients at the time of discharge.

We found that the factors with the strongest prognostic values were the initial GCS score, respiratory rate, glycaemia, blood saturation, systolic blood pressure, midline shift and type of hematoma. Additionally, we proved that a drop by one point in the GCS score almost doubles the risk of in-hospital death while the presence of coagulopathy increases the risk of in-hospital death almost six times.

Most of the factors with the strongest prognostic value are factors that the emergency team can treat prior to the hospital admission. Coagulopathy, however that has the strongest influence on in-hospital death rate can only be efficiently treated in a hospital setting.

Most of the factors with the strongest prognostic value are factors that the emergency team can treat prior to the hospital admission. Coagulopathy, however that has the strongest influence on in-hospital death rate can only be efficiently treated in a hospital setting.The aim of this research is to compare the efficiency and safety between endoscopic combined intrarenal surgery (ECIRS) in the Galdakao-modified Supine Valdivia (GMSV) position and minimally invasive percutaneous nephrolithotomy (Mini-PCNL) in a single session for the treatment of complex nephrolithiasis. Selleck PND-1186 140 consecutive patients who were diagnosed with multiple pyelocaliceal stones or staghorn renal calculi were enrolled and reviewed retrospectively. Demographic, clinical information and surgical outcomes were collected and analyzed. Demographic variables and stone characteristics did not show statistically differences. Over 80% of the patients were diagnosed with multiple pyelocaliceal stones, while the remainders were branched renal calculi. Over half of the patients were classified into medium and high Seoul National University Renal Stone Complexity scoring system (S-ReSC) score groups. The stone free rate (SFR) in the single session was significantly higher in the ECIRS group than in the Mini-PCNL group (88.